DIRECTORATE GENERAL OF SHIPPING, GOVT.

OF INDIA
ASSESSMENT CHECK LIST
Port:
Date:

Lead Auditor:
Auditors:
Assessment: Company*/Ship* Interim*/Initial*/Annual*/Intermediate*/Additional*/Renewal*
Company Name: Company Contact No.:

Ship Name:
The department assessed should be entered in the appropriate box with the date.
Each code reference is ticked under the department header if compliance is satisfactory.
A number under the department header indicates non-conformities raised.
NOTES/NC NOS.
AUDIT
ISM CODE REFERENCE DEPARTMENT (continue notes on
OR
reverse if necessary)
PART A
1 Objectives
1.2.1 Objectives of the Code
1.2.2 Objectives of the Company
1.2.3 SMS complies with Rules and Codes
2 Safety & Environment Protect Policy
2.1 Policy
2.2 How to be implemented
2.3 Implementation assurance Ship/Shore
3 Company Responsibilities and Authority
3.1 Identification of Responsible Operator
3.2 Definition of SMS tasks & resp. personal
3.3 Resource for designated person
4 Designated Person(s)
Identification & task incl. Operation of SMS
5 Master’s Responsibility and Authority
5.1 Definition of tasks
Implementation, motivation
Orders, verification
Reviews and reports on SMS
5.2 Master’s overriding authority
6 Resource and Personnel
6.1 Master qualification
6.2 Crew qualification and numbers
6.3 Training of new personnel/assignment
6.4 Understanding of the Rules
6.5 Procedure for training
6.6 Procedure for working language
6.7 Effective communication (language)
Ref.: DGS/ISM-07/Rev.01/Dec’08 *Delete as appropriate
 7 Development of plans for shipboard
operation
Procedures for plans instructions & Checklists
Task identified and assigned
8 Emergency Preparedness
8.1 Procedure to identify key ship operations
8.2 Emergency drills program ship shore
8.3 Corporate response measures
9 Report and analysis of NC/HO
9.1 Procedure Reporting
9.2 Reports, investigation and analysis
9.2 Procedure for corrective action
10 Maintenance of ship and equipment
10.1 Classification and statutory records
10.1 Procedure for maintenance
10.2 Inspections at appropriate intervals
10.2 Reports of NC & CA (Records)
10.3 Procedures for equipment and systems
10.3 Measures to promote reliability
10.4 Critical equipment for Maintenance routine
11 Documentation
11.1 Procedures SMS document control
11.2 Documents valid, available at locations
11.3 Safety management manual ship specific
12 Company verification, review and evaluation
12.1 Internal Safety audits of activities
12.2 Procedures for evaluation and review
12.2 SMS evaluation review
12.3 Procedures Audits and CA
12.4 Independence of auditors
12.5 Communication of audits results
12.6 Implementation of CA
PART B
Certification, verification and control
1 Copy of DOC available on board
2 NCS for periodical verification closed effectively.

SIGNATURE OF AUDITOR:

Form No.: DGS/ISM-07/Rev.01/Dec’08